Provider Demographics
NPI:1538356001
Name:SILVERMAN,, JAY J (MD-A PROF CORP)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:J
Last Name:SILVERMAN,
Suffix:
Gender:M
Credentials:MD-A PROF CORP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9675 BRIGHTON WAY STE 390
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5134
Mailing Address - Country:US
Mailing Address - Phone:310-273-8390
Mailing Address - Fax:310-274-1959
Practice Address - Street 1:9675 BRIGHTON WAY STE 390
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5134
Practice Address - Country:US
Practice Address - Phone:310-273-8390
Practice Address - Fax:310-274-1959
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG10773207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA38069Medicare UPIN